Fusciardi, Gary Joseph

Fusciardi, Gary Joseph is an sole proprietor health care provider with primary practice located at 8061 21 Mile Rd Suite #4, Shelby Township MI 48317-4311. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Fusciardi, Gary Joseph can be contacted via phone (586) 323-0696.

Contact Information

Primary practice address
8061 21 Mile Rd Suite #4 Shelby Township MI 48317-4311
Phone: (586) 323-0696
Fax: (586) 731-8393
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 6301005314 Michigan

Profile Details

NPI number 1245299361
LBN Legal business name Fusciardi, Gary Joseph
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 18th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245299361 NPPES
Michigan Other 5088220 AETNA
Michigan Other 042893 AETNA

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